Agenda Item No. 4
CITY OF YUCAIPA
AGENDA REPORT
TO: Honorable Mayor and City Council
FROM: Jennifer Crawford, Assistant City Manag rJC-
Kimberly Metzler, Deputy City Cle"L
""�l�l
FOR: City Council Meeting of May 22, 2023
SUBJECT: Fiscal Year 2022/2023 Accountability Reports
RECOMMENDATION:
That the City Council receive the Community Activity Grant Accountability Report and deem the program requirements complete for the Al -Anon — Weekly Meetings, Family Service Association of Redlands — Yucaipa Outreach Project, Rotary Club of Yucaipa — Weekly Meetings, Valley Elementary School — Leadership Day, Yucaipa Valley Art Association — Twice Monthly Meetings, and Yucaipa Valley Art Association — 2023 Spring Art Show.
DISCUSSION:
Pursuant to the Community Activity Grant (CAG) Guidelines, the following awarded CAG applicants have completed the CAG funded program and have submitted the Event Reporting Financial Worksheet and Event/Program Summary for Council review and approval. The following details the awarded agency, the amount granted, the actual grant amount spent, and the event reporting worksheet:
Awarded
Awarded
Actual
Financial
FY 2022/2023
Financial
In -Kind
Reporting
ACCOUNTABILITY REPORTS
Amount
Amount
Worksheet
Attachment
Al -Anon
N/A
$879.00
$879.00
1 Weekly Meetings
Family Service Association of
Redlands
$3,500.00
N/A
$3,500.00
2 Yucaipa Outreach Project
Rotary Club of Yucaipa
$1,000.00
N/A
$1,000.00
3 Weekly Meetings
Valley Elementary School
N/A
$9,126.00
$9,126.00
4 Leadership Da
Yucaipa Valley Art Association
N/A
$2,624.00
$2,624.00
5 Twice Monthly Meetings
19 Awarded
Awarded
Actual
Financial
FY 2022/2023
Financial
In -Kind
Reporting
ACCOUNTABILITY REPORTS
Amount
Amount
Worksheet
continued
Attachment
Yucaipa Valley Art Association
N/A
$1,999.50
$1,999.50
6 2023 Spring Art Show
Staff has reviewed and is recommending that the City Council receive the CAG Accountability Reports and deem, if appropriate, that the program requirements have been met by the Al -Anon — Weekly Meetings, Family Service Association of Redlands — Yucaipa Outreach Project, Rotary Club of Yucaipa — Weekly Meetings, Valley Elementary School — Leadership Day, Yucaipa Valley Art Association — Twice Monthly Meetings, and Yucaipa Valley Art Association — 2023 Spring Art Show.
FISCAL IMPACT:
The FY 2022/2023 CAG Fund for financial requests is depleted.
Attachments:
1 — Al -Anon Accountability Report
2 — Family Service Association of Redlands Accountability Report 3 — Rotary Club of Yucaipa Accountability Report
4 — Valley Elementary School Accountability Report
5 — Yucaipa Valley Art Association Accountability Report 6 — Yucaipa Valley Art Association Accountability Report Approved by:
20 Attachment 1
Received
City of Yucaipa Community Activity Grant City of Yucaipa Event Reporting Financial Worksheet MAY 10 2023
Fiscal Year 2022-2023 Grants
INCLUDEBACIC-UPDOCUMENTATIONWITHREPORTINCLIWJNGral Set -vices/ COPIESOFCHECICS, COPIESOFINVOICESIQUOT y Clerk's Department Name of Organization: /4 L ` -A d b A
Contact Name: Z—b It IJ f r e to L L 0
Phone Number:
Email:
Description of Event/Project Funded: �'� A40k] ,F- AM ) LW f VP Total Cost to Operate Event/Project: $ �—
Amount Granted by City: $ Section I (Monetary) $� ' Section 2 (In Kind) Justify City Grant Alouetwy Amount: (if applicable)
SECTION 1
Description
Item # Date (Please be specific. List vendor and purpose for each disbursement related ONLY to the grant amount) Amount
l . $
2. $
3. $
4. $
5. $
Justify City Grant In -Bind Amount: (if applicable)
SECTION 2
Description
Item # Date (Please be specific. List vendor aad Purpose for each disbursement related ONLY to the grant amount) Amount
ZO OM
2. 3. $
4. $
5. $
Total Disbursements (Jrrstif}yin; City Grant Monetary an(Uor lit -Kind) Amount): $ "� Monetary Grant Funds Remaining: $
Notes/comments/additional
information:
PLEASE MAKE SURE TO PROVIDE BACK-UI' RECEIPTS / PROOF OF PAYMENT TO JUSTIFY AMOUNTS AWARDED BY GRANT
21 CITY OF
City of Yucaipa Community Activity Grant
a
Event/Program Summary
Fiscal Year 2022-2023 Grants
In an attempt to assist all awarded agencies, the City has developed an Event Reporting Financial Worksheet (attached) to ensure consistent and accurate reporting of the awarded agencies use of City funding and/or in -kind services. Along with your Event Reporting Financial Worksheet, please provide the information requested below:
1. Did the event/program meet the original intended goal?
2. If funded in the future, what would the organization do differently?
4. What type of feedback did organization received from the participants? What.other financial/in-kind contributions did the organziation seek or receive to fund the event/program (separate from City funding)?
5. List the total number of residents
Attach copies of marketing/promotional materials for the event/program.
Notes/eommentsladditional information:
PLEASE SUBMIT, ALONG !'VITA EVENT REPORTING FINANCIAL 1VORKSHEET. TO TIIE CITY CLERK'S OFFICE
WITHIN ONE MONTH FOLLOWING THE EVENUPROGRAM
22 Attachment 2
Deceived
City of Yucaipa Community Activity Grant: City of YLIcaipi2 Event Reporting Financial Worksheet
Fiscal Year 2022-2023 Grants ���
*INCLUDE BACK-UPDOCUMENTATION FHTHREPORTINCLUDING:
COPIESOFCIIECKS,COPIESOFINVOICESI()UOTES General Services/ Name of organization: Family Service Association of Redlands City Clerk's department Contact Name: Kyra Stewart
Phone Number:909-793-2673 x134
Email. [email protected]
Description of Event/Project Funded: Community Action Grant Total Cost to Operate Event/Project: $ 3500
Amount Granted by City: $ 350Section I (Monetary) $ Section 2 (In Kind) Justify City Grant Afoneteny Amount: (if applicable)
SECTION 1
Description
Item # Date
(Please be specific. List vendor and purpose for each disbursement related ONLY to the grant amount)
Amount
t. 08/10/2022
34967 Yucaipa LP/Green Valley Village
$ 635.00
2. 1 1/17/2022
Super 8 Motel/San Bernardino
$ 425.00
3. 12/16/2022
Yucaipa Crestview LLC
$ 1,270.00
4. 12/19/2022
YVMHC LLC
$ 1,170.00
5. $
Justify City Grant In-Knnl
Amount: (if applicable)
SECTION 2
Description
Item # Date
(Please be specific, List vendor and purpose for each disbursement related ONLY to the groat amount)
Amount
1. $
2. $
3. $
4. $
5. $
Total Disbursements (Justifying 00, Gram Monetary and/or In -Kind) Amount): $ 3500 Monetary Grant Funds Remaining: $
Notes/comments/additional
information:
PLEASE MAKE SURE TO PROVIDE BACK-UP RECEIPTS I PROOF OF PAYMENT To .JUSTIFY AMOUNTS AWARDED BY GRANT Page I
23 CITY OF City of Yucaipa Community Activity Grant
Event/Program Summary
POO`* Fiscal Year 2022-2023 Grants
In an attempt to assist all awarded agencies, the City has developed an Event Reporting Financial Worksheet (attached) to ensure consistent and accurate reporting of the awarded agencies use of City funding and/or in -kind services. Along with your Event Reporting Financial Worksheet, please provide the information requested below:
1. Did the event/program meet the original intended goal? YES
2. If funded in the future, what would the organization do differently?
NOTHING, DEPOSITS, RENTAL ASSISTANCE AND MOTEL VOUCHERS ARE NEEDED MOST.
3. What type of feedback did organization received from the participants?
SO VERY GRATEFUL FOR THE RENTAL ASSISTANCE AND MOTEL VOUCHER DURING
THEIR CRISIS AND TIME OF NEED
4. What other financial/in-kind contributions did the organziation seek or receive to fund the event/program (separate from City funding)?
5. List the total number of residents served.
15 Attach copies of marketing/promotional materials for the event/program.
Notes/comments/additional information:
PLEASE SUBMIT ALONG WITH EVENT REPORTING FINANCIAL WORKSHEET TO THE CITY CLERIC'S OFFICE
WITHIN ONE MONTH FOLLOWING THE EVENT/PROGRAM
24 Family Service Association of Redlands 17411
34967 YUCAIPA LP/GREEN VALLEY VILLAGE 8/10/2022
42518 • YUCAIPA-CITY Govrmmnt -expe RENT AUG D. DAVIS Y-398 635.00 Cash in checking-gov't RENT AUG D. DAVIS Y-398 635.00
Family Service Association of Redlands 17411
34967 YUCAIPA LP/GREEN VALLEY VILLAGE 8/10/2022
42518 • YUCAIPA-CITY Govrmmnt -expe RENT AUG D. DAVIS Y-398 635.00 0 0
0 0 0
0 Cash in checking-gov't RENT AUG . DAVIS Y-398 635.00
lI�1111111�(111(MII00
25 TO ALLEVIATE POVERTY, ENCOURAGE SELF-SUFFICIENCY, AND PROMOTE TI1E DIGNITY OF ALL.
Serving the Community since 1898
612 Lawton St ( Redlands, CA 923741909-793-2673 ( redlandsfamilyservice.org Date: 07/14/202
This letter is to verify that the client listed below resides at or has arranged to rent property at the address listed below in the County of San Bernardino.
Client Name: Do �(� 3
Full Address:.�SS y( t10&F3LxC-2AL
City, State, Zip: _UCA (pAk CA q() #Bed:l / #Bath:
The erit/ eposit is $_� (WITHOUT LATE CHARGES, DEPOSIT'S or OTHER FEES) and is due on m m/ Yyyy.
0$/Ia/1
I agree to accept $(fW35 from Family Service Association of Redlands* toward their (check one)gMent or ❑Deposit which is due on mm/dd/yyyy and any additional subsidies secured by tenant from FSA. t6/to/SD-
FAMILY SERVICE APPROVES RENTAL ASSISTANCE AT ONE MONTH INTERVALS. .This is to provide one month's rent to secure 30 days of occupancy. (May be only partial subsidy)
O Initial rent/deposit for an apartment or house to secure 30 days of occupancy Tenant is responsible for any portion of full month rental expense not paid by Family Service.
We are working with the family through our program to prevent homelessness, avert eviction, or. assist when homelessness has already occurred.
Landlord or Manager
(Please print information & sign your name under "signature") SIGNATURE: Date:' `� :22--
FULLADDRESS:'�'t'l1�'1,
CITY, STATE, ZIP: ��, Chi-
PRONE: Iqy
Checks should be made ;sayable to: ��
vjmct-
PLEASE FAX OR RETURN THIS FORM TO FSA AS SOON AS POSSIBLE This letter does not constitute a guarantee o ayment by Family Service Association of Redlands. It verifies the proposed residence of the family and amount of rent. Provided all quali ati are met the assistance may be provided. Ptease cat( if you should have airy questions or concerns, Payment requires -9 F nds are drawn from a variety of government grants and private donations./�P,� Case Manager: Verification Date:--- ��
1/14122 MMC
26 _ TO ALLEVIATE POVERTY. ENCOURAGE SEtF•SUFFUENCY. AND PROMOTE THE DIGNITY OF ALL.
Landlord's Statement of Intent to Rent
Date:
I V tf Landlord, have agreed to rent to
(Landlord's am )
(Tenant's Name)
Who has accepted the.apartment located at:
tt
Street Address, _ Unit #
qup,ll�,am
City/State/Zip
Size of Unit: IXOccupancy Limit:
Bedrooms/Baths Adults/Children
I require the following to be paid to secure the unit:
Security Deposit in the amount of: $
V month rent in the amount of: $ L�
-6-rVw (4.0
Landlord's full name
?" ,
Ph e& Fax numbers 1
�S� Y� W ek 43)
Mailing Address
G
12 27
Historic District Look -Up
,_tom,
-1 -
0.6mi
Search for Districts
Enter an address or district name in the box below or
click on the map to show all districts atthat location.
Search results will appear4n the panel below. Click the name of a district in this panel for more information.
If you wish to search for an address within any agency
that recently completed the redistricting process, click here to use the Primary Election District Look -Up app. s
v
34955 Yucaipa Blvd, Yucaipa, CA, X
Q
v�i`I7 y .
"
Districts at this location
rt
Board of Supervisors, District 3
City of Yucaipa
_
City of Yucaipa City Council, District 4
ut
._.___._.._.___._....._............. .
County of San Bernardino
County of San Bernardino, Board of Education, Area E
----------
717i F
San Bernardino Community College District
L'
San Bernardino Community College District, Area 6
.................. -------- ._.._._........... ..__....... . ....._.. _............,.
San Bernardino Valley Municipal Water District
San Bernardino Valley Municipal Water District, Divisio... ..... ..... ... ...__._.........._._....__._............. i
State Assembly, District 42
`
r
State of California, Board of Equalization, District 4
i
' 4
State Senator, District 23
United States Representative, District 8
Yucaipa-Calimesa Joint Unified School District
Yucaipa-Calimesa Joint Unified School District, Area 4
Yucaipa Valley Water District
Yucaipa Valley Water District, Division 2
PAY TO H SB EXPRESS ONE, LLC **425;00
ORD
**********k**M#***ti******iitkt#****k*1
Four Hundred Twenty -Five and 00/100 pot_ua;Rs
Family Service Association of Redlands 17426
SB EXPRESS ONE, LLC 11/17/2022
42518 • YUCAIPA-CITY Govrmmnt -expe VOUCHER 38429 425.00 Cash in checking-gov't VOUCHER 38429 425.00
Family Service Association of Redlands 17425
SB EXPRESS ONE, LLC 11/17/2022
42518 YUCAIPA-CITY Govrmmnt -expe VOUCHER 38429 425.00
Cash in checking-gov't VOUCHER 38429 `f
2 t23 425.00
� llAlllllll�ll lli®II
29 M
a CD 0 CD CD CD C) C) CD C) C) C) C) N N) CD m I -r-*- w CD I CD I CD -P. -? W W K) C) j CD
K) rQ,
PQ rQ ro
CL fQ rQ N) K) rQ rj Pl.) fQ
N
z
co co co c
4�- 4�- 4�1 4-1� .4. -OL -in'. I -r- D. "D C* 4n-
m m co co co m m w co co
a
co " N N N) N) Nmi
—iiO)
,n o z
m IttUl m
10 0 1
o o z It 0 F) I^Z Z--1 Z z 0
m r
7% Z :;0! m M; Ln m
;a > Ln 1 0 LA Z >
o > 10
0 M
z
a!zI
m C)
m
u, I
> C C) I
o 0 > 0 0
z L/)
JlDI
> > m z Z 0 m
> > z >
z > > Z. >
z z
12 -4 Cn Cn ol Cn CP
CO --4 (.71 cn cn N) (YI cn
-E9 -69 -69 -69 -69 -Gq 'En '.9 1.66 i .69 i -(.q I -.9 -.9 --A -.a 0 W co 00 m co m m wim m w w m
(31 En Cn C11 cn C" 01 C-31 Cn Ln C-n m M
rn
-60 1
p
;7,-
41,
4N.
b.
m
41. 4P
N
cn
co
co
C)
O1NIN
m
N I
cn i
rQ
cn
N
I cn
w
cn
N
cn
(b i
M:
rQ
ul
N)
ul
I-T,
cn
cn
cn
O
C)
C)
6 C)
6161b
0 0
0 bib
CD
, o
616
o
CD
6 0
b
I 0
b
i 0
I 01c)
C)
w
z
W,
CD
0 M"
CD
0 C
0 (D
*1
cn
30 Family Service Association of Redlands 17431
YOUCAIP CRESTVIEW LLC 12/16/2022
42518 • YUCAIPA-CITY Govrmmnt -expe RENT NOVA. MARDESICH Y-407 1,270.00 Cash in checking-gov't RENT NOV A. MARDESICH Y-407 1,270.00 Family Service Association of Redlands 17431
YOUCAIP CRESTVIEW LLC 12/16/2022
42518 • YUCAIPA-CITY Govrmmnt -expe RENT NOVA. MARDESICH Y-407 1,270.00 0 D o
n
0 Cash in checking-gov't RENT NOV A. MARDESICH Y-407 1,270.00 � � Il�tllllllili II1�11
31 ,�AIMVYS-4��a Assocurnw- OF Rr,-DL"DS.
TO ALLEVIATE POVERTY, ENCOURAGE SELF-SUFFICIENCY, AND PROMOTE THE DIGNITY OF ALL Serving the Community since 1898
612 Lawton St f Redlands, CA 92374 1 909-793-2673 1 redlandsfamilyservice.org Date: f1/29/26k
This letter is to verify that the client listed below resides at or has arranged to rent property at the address listed below in the County of San Bernardino.
Client Name: Angel Mardesich
Full Address: 12821 4th St. Space 45
City, State, Zip: Yucaipa, CA, 92399 #Bed:2 / #Bath:l
The rent/deposit is 1270 (WITHOUT LATE CHARGES, DEPOSITS or OTHER %EES) and is due on 11/01/22.
I agree to achbpt 1270 from Family Service Association of Redlands* toward their (check one) ®Rent or ❑Deposit which is due on 11/01/2022 and any additional subsidies secured by tenant from FSA.
FAMILY SERVICE APPROVES RENTAL ASSISTANCE AT ONE MONTH INTERVALS.
MThis is to provide one month's rent to secure 30 days of occupancy. (May be only partial subsidy)
❑ Initial rent/deposit for an apartment or house to secure 30 days of occupancy Tenant is responsible for any portion of full month rental expense not paid by Family Service.
We are working with the family through our program to prevent homelessness, avert eviction, or assist when homelessness has already occurred.
Landlord or Manager
(Please print information & sign your name under "signature") NAME: Antonio Coie
SIGNATURE:
FULL ADDRESS: 1282140' st.
CITY, STATE, ZIP: Yucaipa, CA, 92399
PHONE: 626 999 1519
Date: 11/29/2022
Checks should be made payable to: Yucaipa crestview LLC
PLEASE FAX OR RETURN THIS FORM TO FSA AS SOON AS POSSIBLE This letter does not constitute a guarantee ofpayment by Family Service Association of Redlands. It verifies the proposed residence of the family and amount of rent. Provided all qualifications are met, the assistance may be provided. Please call if you should have any questions or concerns. Payment requires a W-9 on file. * Funds are drawn from a variety of government grants and private donations. �� Case Manager: Stephanie Montero Verification Date: �
1114/22 MMC
32 THREE-DAY NOTICE TO PAY RENT OR QUIT
For Rent Due on or after April 1, 2022
TO: CHARLES GAVIN DRUMMOND, ANGEL CAROL MARDESICH
AN Residents (tenants and subtenants) in possession (full name) and all others in possession of the rental unit located at:
'12821 4TH STREET , Unit # (if applicable) 45
(Street Address)
YUCAIPA
(City)
CA 92399
(Zip)
WITHIN THREE (3) DAYS, not including Saturdays, Sundays or other Judicial holidays, after the service on you of this Notice, you are hereby required to make payment PAYABLE TO:
YUCAIPA CRESTWIEW LLC (Landlord) the rent for the premises amounting to the total sum of $1383 calculated as follows:
$ 1383 which came due 1111/2022 for the rental period from NOV 1, 2022 through NOV 30, 2022 $ which came due for the rental period from through
$ which came due for the rental period from through
OR QUIT AND DELIVER THE POSSESSION OF THE PREMISES.
If you fail to perform or otherwise comply, Landlord declares the forfeiture of your RentailLease Agreement and will institute legal - proceedings to obtain possession. Such proceedings could result in a judgment against you, which may include attorneys' fees and court costs as allowed by law, and an additional punitive award of six hundred dollars ($600) In accordance with California law. If you fall to fulfill the terms of your credit obligations, a negative credit report may be submitted to a credit reporting agency.
This Three-day Notice to Pay Rent or Quit supersedes all previous Three-day Notices to Pay Rent or Quit, if any.
This notice does not demand payments that came due prior to April 1, 2022, however, any amounts you may owed prior to April 1, 2022, are not waived and Landlord reserves the right to pursue those amounts in a separate action.
Payment must be delivered to:
ANTONIO COiE
(Name to whom rent should be delivered)
at 12821 4TH ST. OFFICE, YUCAIPA, CA, 92399
Telephone number for above address:
(Address where payments should be delivered)
626 999 1519
Payments made in person may be delivered between the hours of 1 OAM and 5PM the week: ® Monday ® Tuesday M Wednesday ®Thursday ® Friday 0 Saturday Ci Sunday E Other RENT SLOT
on the following days of
Acceptable methods of payment: ®Personal Check DCashier's Check ®Money Order ❑Credit ❑EFT (Pursuant to previously established Electronic Funds Transfer procedure) and ®Cash JIAN CHEN by ANTONIO COTE YUCAIPA CRESTVIEW, LLC Agent for Landlord Landlord Individual signing for Landlord Management Co. (IfAppllceble) 11 /21 i2022
Date
California Apartment Association Approved Form
www.caanot.org
Farm CA-230 — Revised 4122 - ©2022 — All Rights Reserved
Ui�aufhanzetl Repforlu Pion oC � ,
BInnK Fornts rs lticyat ' �,�
33 Historic District Look -Up
+ Search for Districts
X
Enter an address or district name in the box below or
click an the map to show all districts at that location.
AT Q
Search results will appear in the panel below. Click the name of a district in this panel for more information,
....... ......
If you wish to search for an address within any agency
that recently completed the redistricting process, click :ion District here to use the Prima[y, Elect
Set location
.. . .. . .......
I
�j; 1-
N, 12821 4th St, Yucaipa, CA, 92399, X
,p Districts at this location
>: ........
7�77
il Board of Supervisors, District 3
City of Yucaipa
ti City of Yucaipa, City Council, District 3
y�a.
P
County of San Bernardino
County of San Bernardino, Board of Education, Area E
i�qq!pa c
San Bernardino Community College District
San Bernar
dino Community College District, Area 6
San Bernardino Valley Municipal Water District
b..
San Bernardino Valley Municipal Water District, Divisio...
J
State Assembly, District 42
State of California, Board of Equalization, District 4
. . .......
MyCHOW( State Senator, District 23
CHOW:
Linda L
United States Representative, District 8
Yuca ipa-Cali mesa Joint Unified School District
e _:c District
location
t'o , F92399, X
Yuca ipa-Cal i mesa Joint Unified School District, Area 3 Yucaipa Valley Water District
Yucaipa Valley Water District, Division 4
A Ami
34 Family Service Association of Redlands 17432
YVMHC LLC 12/19/2022
42518 • YUCAIPA-CITY Govmmnt -expe RENT NOV R. BERNAL Y-404 1,170.00 CK 17432 $1170 + CK 17433 $468.65 = $1638.65 T
Cash in checking-gov't RENT NOV R. BERNAL Y-404 1,170.00 Family Service Association of Redlands 17432
YVMHC LLC 12/19/2022
42518 • YUCAIPA-CITY Govrmmnt -expe RENT NOV R. BERNAL Y-404 1,170.00 CK 17432 $1170 + CK 17433 46 . 5 1�38.65 T
0 D o
. 0
0 Cash in checking-gov't RENT NOV R. BERNAL Y-404 r f�� 1,170.00 ! � i181111111�11111116
35 C.. -ASSKU110N OF REDW
TO ALLEVIATE POVEM, ENCOURAGE 5EMSUFROENCY, AND PROMOTE THE DIGNITY OF ALL.
Serving the Community since 1898
612 Lawton St ( Redlands, CA 92374 909-793-2673 j rediandsfamilyservice.org Date: t12XO51t22
This leiter is to verify that the client listed below resides at or has arranged to rent property at the address Iisted below in the County of San Bernardino.
Client Name: Renee Bernal
Full Address: 12710 3rd Street
City, State, Zip: Yucaipa, CA 92399 #Beni: 3 / #Bath: 2 The rent/deposit is 1638.65 (WITHOUT LATE CHARGES, DEPOSITS or OTHER FEES) and is due on 11101/22.
I agree to a pt 1638.65 from Family Service Association of Redlands* toward their (check one) ®Rent or ❑Deposit which is due on 11/01/22 and any additional subsidies secured by tenant from FSA.
FAMILY SERVICE APPROVES/RENTAL ASSISTANCE AT ONE MONTH INTERVALS. ®This is to provide one month's rent to secure 30 days of occupancy. (May be only partial subsidy)
0 Initial rent/deposit for an apartment or house to secure 30 days of occupancy Tenant is responsible for any portion of full month rental expense not paid by Family Service.
We are working with the family through our program to prevent homelessness, avert eviction, or assist when homelessness has already occurred.
Landlord or Manager
(Please print information & sign your name
•Iunder
�"signature")
NAME:( I i Il an � A)�5W- Cl`S�i�YIY�Y�Ofn� t f I lt�'YI:� vG SIGNATURE: � �=4 , Date: t,- I S 1 ZZ
FULL ADDRESS: 12.--10 75rd SJ . - Q*} c e
CITY, STATE, ZIP: t1VlnCrx,Va. CA °t?-5-M
PHONE: 101 - 0�352 `/
Checks should be made payable to: 1 1! M VI C , L i-C
PLEASE FAX OR RETURN THIS FORM TO FSA AS SOON AS POSSIBLE This letter does not constitute a guarantee of payment by Family Service Association of Redlands. it verifies the proposed residence of the family and amount ofrent. Provided all qualifications arc met, the assistance may be provided. Please call ifyou should have any questions or concerns. Payment requires a W-9 on file.' Funds are drawn from a variety of government grants and private d ns.
Case Manager: Stephanie Montero Verification Date:�11
1/14f22 MMC
36 c:SSOC��,t ION NOTICE TO PAY RENT OR QUIT
` ASSOCIATION
'Qv,REALT0RS'z (C.A.R. Form PRQ, Revised 10l22)
To: Renee Christine Bernal ("Tenant")
and any other occupant(s) in possession of the premises located at: 12710 3rd Street #95 (Street Address) (Unit!Apartment #) _ Yucaipa (City) CA (State) 92399-4579 (Zip Code) ("Premises").
Other notice address if different from Premises above:
1. Notice to the above -named person(s) and any other occupants of the above -referenced Premises:
WITHIN 3 DAYS, excluding Saturdays, Sundays, and other judicial holidays, from service of this Notice you are required to (1) Pay rent, which is past due (see paragraph 2), OR (ii) Vacate the Premises and surrender possession.
2. Rent Due and Payment: (Do not include any amount which was due more than one year prior to the date of service of this form without first speaking to legal counsel).
A. The total amount of rent which is PAST DUE is specified below.
B. $ 1,638.65 for the period November 1 2022 to _ November 30, 2022 $ for the period to
$ for the period to
$ 1,63P.65: Total unpaid rent due.
C. If applicable, check, money order, draft or instrument, shall be made payable to: Yale Space Group D. Rent shall be delivered to: Jillian Chester- Community Manager (specific individual) whose phone number is _ (909)797-0852 at 12710 3rd St. - Office, Yucaipa CA 92399 (Address)
E. MRer t may be delivered in person between the hours of 9a-6p on the following days: Mon -Fri
3. Failure to pad{ or surrender possession:
If you do not pay the past due amount or give up possession by the required time, a legal action will be filed seeking not only d :rnages and possession, but aTifld
tatutory damage penalty of up to $600.00 (California Code of' Civil Procedure § 1174). Landlord declares�aJa iture lease if past due rent is not paid, and you continue to occupy the Premises, As required I)yr law, y 'are hereby that a negative credit report reflecting on your credit record may be submitted to a credit reporiin agency if you fai yo ent. t
Landlord l / i i ! -1 % '?
(Owner or Agent)
Landlord
(Owner or Agent)
Address 111710 3RD STREI-7 -Office City Yucalpa State CA Zip 92399 Telephone 9rl9 797-0A52 Fax E-mail mhcofficeyucaipa(apgmail.com
4. DELIVERY OF NOTICElPROOF OF SERVICE:
This Notice was served by Jillian Chester - Community Manager , on November 7. 2022 (date) In the fallowing manner: (if mailed, a copy was mailed -at _ Yucaipa Post Office (Location)) Emailing a notice does not satisfy the requirements of Code of Civil Procedure §§ 1162(a) or 1162(b).
To comp) with state law, service attempts must be done in the following order: A, then B, then C.
A. [I Personal service. A copy of the Notice was personally delivered to the above named Tenant.
S. NOTE: SUBSTITUTED SERVICE MAY BE USED IF THE TENANT iS ABSENT FROM THE TENANT'S RESIDENCE OR USUAL PLACE OF BUSINESS.
Substituted service. A copy of the Notice was left with a person of suitable age and discretion at the Tenant's residence or usual place of business and a copy was mailed to the Tenant at the Premises.
C. NOTE: POSTING AND MAILING OF THE NOTICE MAY BE USED ONLY IF THE TENANT'S RESIDENCE OR
USUAL PLACE OF BUSINESS CANNOT BE ASCERTAINED OR IF KNOWN THEN ONLY IF NO PERSON "O UITABLE AGE AND DISCRETION CAN BE FOUND AT THOSE LOCATIONS.
Post and mail. A copy of the Notice was affixed to a conspicuous place on the Premises and a copy was mailed to the Tenant at the Premises.
Q 2022, California Association of REALTORSO, Inc.
PRO REVISED 10122 (PAGE 1 OF 2)
NOTICE TO PAY RENT OR QUIT PRQ PAGE 1 OF 2
Real Pilate Adetonrv,Inc.. 34455 Yucaipa Ui Ste 214 Yucaipa CA 92399 Phone: 9494M937 Fax: YVb1l1C95- lan bw Produced with Lone Waif Trapsacllons (zipForm Edition) 717 N Harwood Si, Suite 2200. Dallas. TX 75201 v mlwolf corn 37 I declare under penalty of p rjury der the laws of the State of California that the foregoing Is true and correct.
(Signature of person se ng tics) (Date) �2
Name)
(Keep a copy for your records.)
0 2022, Callromia Association of REALTORSO, Inc. United Slates copyright law (Me 17 U.S. Code) forbids the unauthorized distribution, display and reproductfon of this form, or any portion thereof, by photocopy machine or any other means, including facslmlle or computerized formats. THIS FORM HAS BEEN APPROVED BY THE CALIFORNIA ASSOCIATION OF REALTORSO, NO REPRESENTATION IS MADE AS TO THE LEGAL. VALIDITY OR ACCURACY OF ANY PROVISION IN ANY SPECIFIC TRANSACTION. A REAL ESTATE BROKER IS THE PERSON QUALIFIED TO ADVISE ON REAL. ESTATE TRANSACTIONS. IF YOU DESIRE LEGAL OR TAX ADVICE, CONSULT AN APPROPRIATE PROFESSIONAL. This form Is made available to real estate professionals through an agreement with or purchase from the Cailfomla Association of REALTORSO. It Is not Intended to Identify the uear as a REALTOR& REALTORO Is a registered collective membership mark which may be used only by members of the NATIONAL ASSOCIATION OF REALTORSO who subscribe to Its Code of Ethics.
UC Published and Dtstnbuted try;
REAL ESTATE BUSINESS SERVICES, LLC.
e subsfdlary ofthe CALIFORNIA ASSOCIATION OF REALTORSO
525 South Virgil Avenue, Los Angeles, Cailfomia 90020 1 PRO REVISED 10122 (PAGE 2 OF 2)
NOTICE TO PAY RENT OR QUIT (PRO PAGE 2 OF 2)
Pmduced with tnno WoHTrsnsaWora (YrpForm Edltlon)717 N Harwood St, SuIW 2200, Wlas, TX 75201 boa WhtlIC 95
dog Historic District Look -Up
Search for Districts
T
Enter an address or district name in the box below or
.:,OR.-
click on the map to show all districts at that location.
Search results will appear in the below. Click the
Y144
panel
ore information.
n panel for m Set location
ji,
If YOL or an address within any agency
that recently completed the redistricting process, gLj2k here to use the Primary Election District Look -Up
--gipp.
W,
12710 3rd St, Yucaipa, CA, 92399, X
F
Districts at this location
"j.
Board of Supervisors, District 3
-,-- . ...
City of Yucaipa
j�
City of Yucaipa, City Council, District 3
x
Cato
County of San Bernardino
p
County of San Bernardino, Board of Education, Area E
I.
Grew
San Bernardino Community College District
A...
7 ......... . ...... ........
San Bernardino Community College District, Area 6
San Bernardino Valley Municipal Water District
Z.
San Bernardino Valley Municipal Water District, Divisio...
State Assembly, District 42
L6
State of California, Board of Equalization, District 4
---vi wf n i iv
A
State Senator, District 23
7�
•
Loma Linda L
United States Representative, District 8
Yucaipa-Calimesa Joint Unified School District
Yucaipa -Ca Ii mesa Joint Unified School District, Area 3 Yucaipa Valley Water District
Yucaipa Valley Water District, Division 4
I Ami
39 Attachment 3
City of Yucaipa Non -Department Not -:for -Profit Funding Event/Program Reporting Financial Worksheet Received
Fiscal Year 2022-2023 Grants City aYucaipa
YINCL UDE BACK-UP DOCUMENTATION WITH REPORT INCL UDING:
COPIES OF CHECKS, COPIES OFINVOICES/QUOTES 101M ' 2023
Name of Organization: Rotary Club of Yucaipa G ^ -
Contact Name: Donnakaye Ostrander/Todd Gutja City! Gies i<`S17er)a i" to Phone Number: 626-274-8403/909-900-9537
Email: donnakaye4(a live.corn/tgutjahi•(cbhotinaii.com
Description of Event/Project Funded: Club Meetings
Total Cost to Operate Event/Project: $ 9,396
Amount Granted by City: $ 0 Section I (Monetary) 9=3 Section 2 (In Kind) Justify City Grant Monetary Amount: (if applicable)
SECTION I
Description
Item # Date (Please be specific. List vendor and purpose for each disbursement related ONLY to the grant amount) Amount
1. $
2. $
3. $
4. $
5. $
Justify City Grant lit -Kind Amount: (if applicable)
SECTION 2
Description
Item # Date (Please be specific. List vendor and purpose for each disbursement relayed ONLY to the grant amount) Amount
t_ 7/t/22-6/23/23 Facility Rental - Scherer Community Center (Nutrition Center) $ 9, -=r
2. 3.
4. 5. $
c
Total Disbursements (Justifying 00) Grant D4'onetary ancUor In -Kind) Amount): S"9;396 Monetary Grant Funds Remaining: S
Notes/comments/additional
information:
PLEASE MAKE SURE TO PROVIDE BACK-UP RECEIPTS / PROOF OF PAYIb1ENT'rO .JUSTIFY AMOUNTS AWARDED BY GRANT
40 CITY OF ity of Yucaipa Non -Department Not -for -Profit Funding Event/Program Summary
Fiscal Year 2021-2022 Grants
In an attempt to assist all awarded agencies, the City has developed an Event/Program Reporting Financial Worksheet (attached) to ensure consistent and accurate reporting of the awarded agencies use of City funding and/or in -kind services. Along with your Event Reporting Financial Worksheet, please provide the information requested below:
1. Did the event/program meet the original intended goal? Yes. The Scherer Community Center (Nutrition Center) meets are needs.
2. If funded in the future, what would the organization do differently? Keep meeting at the facility and look to expand/enhance the Rotarys presence at the facility.
3. What type of feedback did organization received from the participants? Excellent facility/staff.
4. What other financial/in-kind contributions did the organisation seek or receive to fund the event/program (separate from City funding)?
None.
5. List the total number of residents served.
50 Attach copies of marketing/promotional materials for the event/program.
Notes/comments/additional information: The Rotary Club would like to say THANK YOU to City Council and City Staff for allowing the Club to use the facility.
PLEASE SUBMIT ALONG WITH EVENT REPORTING FINANCIAL WORKSHEET TO THE CITY CLERIC'S OFFICE
WITIHN ONE MONTH FOLLOWING THE EVENT/PROGRAM
41 Attachment 4
Received
City Of YucaipaCity of Yucaipa Community Activity Grant Event Reporting Financial Worksheet MAY 0 8 2023
Fiscal Year 2022-2023 Grants
*INCLUDE BACK-UP DOCUMENTA TION WITH REPORT TNCLUDMp 6 ra I Services/ COPIES OF CHECKS, COPIES OFINVOICESIQUOTES C'tY Clerk's Department Name of Organization: Valley Elementary, A Lighthouse Leader in Me School Contact Name. Kathy Miller
Phone Number: 909-797-1125
Email: [email protected]
Description of Event/Project Funded: Leadership Day/Memoriat Day Event Total Cost to Operate Event/Prolect- $ 2,000
Amount Granted by City: $ 1—,0001r/—Section I (Monetary) S Section 2 (In Kind) Justify City Grant (if applicable)
SECTION I
Description
Item # Date (Please be specific. i,k: C
Amount
1. 8-10-2022 Student Lighthouse Team Shirts $1,050.00
2. 3.
4. 5. S
Justify City Grant ht-Kind Amount: (if applicable)
SECTION 2
Description
Item# Date (Please be specific,
Amount
i. S
2. S
3. 4.
Total Disbursements (justifying City Grant Monetary and/or fit -Kind) Amount); s 1,000 Avlonetary Grant Funds Remaining., $
Notes/comments/additional
information:
PLEASE MAKE SURE TO PROVIDE BACK-UP RECEIPTS / PROOF OF PAYW NT TO JUSTIFY AMOUNTS ANVARDr-,D BY GRANT 42 crry OF City of Yucaipa Community Activity Gran)
Event/Program Summary
Fiscal Year 2022-2023 Grants
In an attempt to assist all awarded agencies, the City has developed an Event Reporting Financial Worksheet (attached) to ensure consistent and accurate reporting of the awarded agencies use of City funding and/or in -kind services. Along with your Event Reporting Financial Worksheet, please provide the information requested below;
1. Did the event/program meet the original intended goal? Yes, we used the funding to purchase Student Lighthouse Shirts.
2. If funded in the future, what would the organization do differently? Our events improve yearly. Our hope is to have a Leadership Day and a Memorial Day event next year.
3. What type of feedback did organization received from the participants? We received newspaper coverage for our Memorial Day dedication in 2022 and our Leadership Day in
4. What other financial/in-kind contributions did the organziation seek or receive to fund the event/program (separate from City funding)?
We sold snoweones throughout the year to help support our events.
5. List the total number of residents served.
Approxiamtely, 200 - 300 at each event.
Attach copies of marketing/promotional materials for the event/program.
Notes/comments/additional information: Thank you for all of your support that you have given us over the past fe- PLEASE SUBMIT ALONG WITH EVENT REPORTING FINANCIAL WORKSIiEET TO THE CITY CLERK'S OFFICE
WITHIN ONE MONTH FOLLOWING THE EVENT/PROGRAM
43 f
NW
E 1
S
I TOM
M
=ME
rrrst�
�05hie}5,w��il��n
ac Id000„
Not '
R
x r;
Scanned with CamSc,at1ner
Attachment 5
Received
City of Yucaipa Community Activity GrantCity of Yucaipa Event Reporting Financial Worksheet
Fiscal Year 2022-2023 Grants MAY 0 2023
`INCLUDE BACIC-UP DOCUMENTATION WITH REPORT INCL UDING:
COPIES 0 F CHECICS, COPIES OF IN VOICESLO UO T&e n e r a I Ser-vicesl City Clerk's. Department
Name of Organization: Yucaipa Valley Art Association a (50t)c organization Contact Name: Alan Remele or Zully Martinez
Plione Number: 909-797-7741
Email: [email protected]
Description of Event/Project Funded: In -Kind Support for YVAA Monthly Meetings at the Scherer Center Total Cost to Operate Event/Project: $ 2,624.04
Amount Granted by City: $
Justify City Grant Alonetarr Amount: (if applicable)
SECTION I
Section I (Monetary) 5Section 2 (In Kind)
Description
Item # Date (Please be specific. List vendor and purpose for each disburseniew related ONLY to flat grant amount) Amount
I. $
2. $
3. $
4. $
5. $
Justify City Grant In -Kind Amount: (if applicable)
SECTION 2
Description
Item # Date (Please be Specific. List vendor and purpose for each disbursement related ONLY to the grain( :uuowit) Amount
1. 9/1.3/22-5/16/23 YVAA Tuesday Art Planning Meeting (Permit R4301) $ 540.00
2. 9/1.5/22-5/18/23 YVAA Thursday Night Monthly Art Show Meeting (Pmt R4320) $ 1,579.50
3. $
4. $
5. $
Total Disbursements (Justifjdng City Grant Monetary anti/or lit -Kind) Amount): $ 2,1 19.50 Monetary Grant Funds Remaining: $ 0
Notes/continents/additional
information: Monthly art meetings at the Scherer Community Center.
Event attended by members, public visitors and art presenters.
Demonstration of art techniques and to view art exhibition.
PLEASE MAKE SURE TO PROVIDE IIACK-t1P RECEIPTS / PROOF Or PAYMENT TO JUSTIFY AMOUNTS AWARDED BV GRANT Pa'415
CITY OF r -
City of Yucaipa Community Activity Grant
9L Event/Program Summary
Fiscal Year 2022-2023 Grants
In an attempt to assist all awarded agencies, the City has developed an Event Reporting Financial Worksheet (attached) to ensure consistent and accurate reporting of the awarded agencies use of City funding and/or in -kind services. Along with your Event Reporting Financial Worksheet, please provide the information requested below:
1. Did the event/program meet the original intended goal? Yes the event/program did meet the intended goal of promoting art in the commununity. Members, exhibited paintings and photography. The events were held successfully for the season.
2. If funded in the future, what would the organization do differently? We will look to increase our membership number and public awareness of our organization.
We will continue efforts to use social media and news paper to gain event awareness in community.
3. What type of feedback did organization received from the participants? Participants were glad to meet as a peer group of artists and photographers to show their art and talent.
Meetings provided learning opportunities through art demos or knowledge shared by artists/presenters.
4. What other financial/in-kind contributions did the organziation seek or receive to fund the event/program (separate from City funding)?
None
5. List the total number of residents served.
35-40 residents were served for each monthly meeting that was organized and held at the Scherer Community Center.
Attach copies of marketing/promotional materials for the event/program.
Notes/comments/additional information: Sample promotional flyers are included for monthly meetings held.
PLEASE SUMMIT, ALONG WITH EVENT REPORTING FINANCIAL AVORKSIIEET. TO THE CITY CLERIC'S OFFICE
WITHIN ONE MONTH FOLLOWING THE EVENT/PROGRAM
P1a46
a p %
AI)
C4,
Con
-4--j
Attachment 6
Received
City of Yucaipa Community Activity Grant City of Yucaipa Event Reporting Financial Worksheet MAY 01 2023
Fiscal Year 2022-2023 Grants
*INCLUDE BACK-UP DOCUMENTATION WITHREPORT INCL`-7t I91,q�l Services/
COPIES OF CHECKS, COPIES OF INVOICES/QUO S
��y Gerk s Departrnent
Name of Organization: Yucaipa Valley Art Association a (501)c organization Contact Name: Alan Remele or Zully Martinez
Phone Number: 909-797-7741
Email: [email protected]
gmail.com
Description of Event/Project Funded: In -Kind Support for YVAA Spring Art Show 4/29/23 Total Cost to Operate )Event/Project: $ 2511.51 �� f q 0. q S Amount Granted by City: $ Section I (Monetary) §468-�''00-- Section 2 (In Kind) Justify City Grant tllonetarpAmount: (if applicable)
SECTION I
Description
Item # Date (Please be specific. List vendor and purpose for each disbursement related ONLY to the grant amount) Amount
i. $
2. $
3. $
4. $
5. $
Justify City Grant In -Kind Amount: (if applicable)
SECTION 2
Description
Item # Date (Please be specific. List vendor and purpose for each disbursement related ONLY to the grant amount) Amount
t. 4/28/23 - 4/29/23 YVAA Spring Art Show at the Scherer Community Center $ 1689.00
2. $
3. $
4. $
5. $
Total Disbursements (Justifying 01j, Grant Monetary and/or Itt-Kind) Amount): $ 1689.00 Monetary Grant Funds Remaining: $ 0
Notes/comments/additional
information: Spring Art Show held at the Scherer Community Center.
Event attended by members, public visitors and YHS students to participate and view art exhibition.
PLEASE MAKE SURE TO PROVIDE BACK-UP RECEIPTS I PROOF OF PAYMENT TO JUSTIFY AMOUNTS AWARDED BY GRANT Page
CITY of
City of Yucaipa Community Activity Grant
/ Event/Program Summary
Fiscal Year 2022-2023 Grants
In an attempt to assist all awarded agencies, the City has developed an Event Reporting Financial Worksheet (attached) to ensure consistent and accurate reporting of the awarded agencies use of City funding and/or in -kind services. Along with your Event Reporting Financial Worksheet, please provide the information requested below:
1. Did the event/program meet the original intended goal? Yes the event/program did meet the intended goal of promoting art in the commununity. Members, public and students exhibited their art, paintings, photography. The event was held successfully.
2. If funded in the future, what would the organization do differently? Next year we want to increase our entry numbers and visibility in the community, get more traffic to event.
3. What type of feedback did organization received from the participants? Participants were glad to showcase their artwork to the public, family and friends. Well organized.
YHS was was invited to enter in winter and we had more student entries this year for Spring 2023.
4. What other financial/in-kind contributions did the organziation seek or receive to fund the event/program (separate from City funding)?
None
5. List the total number of residents served.
We had 147 attendees to the spring art show event. The public was welcomed and some came in from from neighboring cities to see the art show.
Attach copies of marketing/promotional materials for the event/program.
Notes/comments/additional information: Attached is the promotional flyer for the 2023 Spring Art Show.
PLEASE SUBMIT. ALONG WITH EVENT REPORTING FINANCIAL NVORKSHEET TO THE CITY CLERK'S OFFICE WITHIN ONE MONTH FOLLOWING 791E EVENT/PROGRAM
Page
50 WWWOLA■"lM4LI
k
y ,
W'
R",
0 11!